Organization
ALTITUDE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN R WEATHERSTON PT (PRESIDENT)
(208) 454-9839
Entity
Organization
Contact information
Practice address
2721 S 10TH AVE STE 105, CALDWELL, ID 83605-5792
(208) 454-9839
(208) 454-0727
Mailing address
2721 S 10TH AVE STE 105, CALDWELL, ID 83605-5792
(208) 454-9839
(208) 454-0727
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807229400
—
ID
Enumeration date
12/01/2006
Last updated
01/13/2026
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